Individual
GRANT C SCHMIDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 259-0966
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
OP00001796
WA
207Q00000X
Family Medicine Physician
Primary
OP00001796
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005112
—
WA
01
—
3075SC
BSWA
WA
01
—
5125SC
BSWA
WA
05
—
8297848
—
WA
Enumeration date
08/11/2005
Last updated
11/21/2014
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